Although most days, of late, have tended to feature a time of sustained pain and discomfort, its manner of onset varies considerably. Sometimes an ache in the palm of the hand and fingers, or more frequently wrist, can be set off by simply holding a newspaper or using a laptop computer for just a few minutes; at other times a throbbing ache in the elbow provides the warning sign. Unfortunately, on far too many occasions, the ache soon spreads through the arm as a painful throbbing occurs in the elbow, and a nausea-inducing discomfort in the armpits, apparently emanating from the lymph nodes, spreads through the upper arm.

The application of splints, and various supports to palm, wrist, elbows, and even shoulders, serves to alleviate the pain and discomfort but, otherwise, I have to resort to pain-killers, tramadol proving the most efficacious, alongside these external aids.

Although the donning of a shoulder support can proffer relief, it seems quite strange that many times my body screams out for the removal of even non-constrictive cardigan, shirt or pyjama top. It’s not at all unusual, at these times, for me to lie down with both arms stretched behind my back, upper arms clamped tightly to my sides, to proffer a further degree of alleviation from the nausea sensation.

Discomfort in feet and toes frequently occurs alongside the pains in upper limbs and torso, and it feels as if they scream out to be relieved from any (otherwise un-noticed) constriction of socks and any outer footwear. The past twenty-four hours presented me with a monstrous mix of aches and pains, necessitating the donning of additional supports for a considerable portion of both morning and afternoon, yesterday, as the full gamut of excruciating aches and pains in torso and limbs took up residence. The following nocturnal hours presented little opportunity for sleep, or even the slightest hint of relaxation; restless legs and pain skewered toes, alongside sundry discomforts in upper body and limbs, resulted in expletive laden tirades, against the night, emanating from my lips.